Solution:The second edition of NITI Aayog's State Health Index was released in June, 2019. In this index the score of Bihar was 32.11. NITI Aayog released the fourth edition of the State Health Index for 2019-20, titled 'Healthy States, Progressive India' on 27 December, 2021. The Index ranked the States and Union Territories based on 24 health-related indicators. Kerala (Score-82.20) continued to top the List of Overall Reference Year (2019-20) Index Score for the best performing State in 4th B.P.S.C. (Pre) 2018 the health sector among the 19 larger States, while Uttar Pradesh continued to be at the bottom of the list with its score falling to 30.57. Other States at the bottom of the list are Bihar (31.00), Madhya Pradesh (36.72) and Rajasthan (41.33). Among the larger States, in terms of annual incremental performance, Uttar Pradesh, Assam andThe second edition of NITI Aayog's State Health Index was released in June, 2019. In this index the score of Bihar was 32.11. NITI Aayog released the fourth edition of the State Health Index for 2019-20, titled 'Healthy States, Progressive India' on 27 December, 2021. The Index ranked the States and Union Territories based on 24 health-related indicators. Kerala (Score-82.20) continued to top the List of Overall Reference Year (2019-20) Index Score for the best performing State in 4th B.P.S.C. (Pre) 2018 the health sector among the 19 larger States, while Uttar Pradesh continued to be at the bottom of the list with its score falling to 30.57. Other States at the bottom of the list are Bihar (31.00), Madhya Pradesh (36.72) and Rajasthan (41.33). Among the larger States, in terms of annual incremental performance, Uttar Pradesh, Assam and